K Number
K141548
Device Name
HIGH TIBIAL OSTEOTOMY SYSTEM
Manufacturer
Date Cleared
2015-01-30

(233 days)

Product Code
Regulation Number
888.3030
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The High Tibial Osteotomy System is indicated for fixation of high tibial osteotomy.
Device Description
The High Tibial Osteotomy System consists of a pre-contoured plate and self-tapping screws in various sizes for high tibial osteotomy. The plates and screws are manufactured from titanium alloy and color anodized. The High Tibial Osteotomy System will be provided sterile.
More Information

Not Found

No
The device description and performance studies focus on the mechanical properties and design of a surgical implant (plate and screws) and do not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No
The device is described as a system for fixation of high tibial osteotomy, which involves surgically stabilizing bone fragments rather than treating or curing a disease or condition. Therapeutic devices generally aim to treat, mitigate, or cure a disease or condition.

No
The device is described as a system for fixation of high tibial osteotomy, consisting of plates and screws. Its intended use is for surgical fixation, not for detecting, diagnosing, or monitoring a disease or condition.

No

The device description explicitly states it consists of a pre-contoured plate and self-tapping screws, which are hardware components.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. These tests are performed outside of the body.
  • Device Description: The description clearly states the device is a "pre-contoured plate and self-tapping screws" used for "fixation of high tibial osteotomy." This is a surgical implant used within the body to stabilize a bone after a surgical procedure.
  • Intended Use: The intended use is for "fixation of high tibial osteotomy," which is a surgical procedure on a bone. This is not a diagnostic test performed on a sample.

The information provided describes a surgical implant, not a device used for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The High Tibial Osteotomy System is indicated for fixation of high tibial osteotomy.

Product codes (comma separated list FDA assigned to the subject device)

HRS, HWC

Device Description

The High Tibial Osteotomy System consists of a pre-contoured plate and self-tapping screws in various sizes for high tibial osteotomy. The plates and screws are manufactured from titanium alloy and color anodized. The High Tibial Osteotomy System will be provided sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical Test Summary:
The following tests were conducted:

  • Comparative fatigue compression tests.
  • Comparative static compression tests.
  • Geometric analysis of the subject and predicate screws.
  • Torsional engineering analysis of plates.
    Clinical Test Summary:
    No clinical studies were performed.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K032187, K041601, K063095

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 888.3030 Single/multiple component metallic bone fixation appliances and accessories.

(a)
Identification. Single/multiple component metallic bone fixation appliances and accessories are devices intended to be implanted consisting of one or more metallic components and their metallic fasteners. The devices contain a plate, a nail/plate combination, or a blade/plate combination that are made of alloys, such as cobalt-chromium-molybdenum, stainless steel, and titanium, that are intended to be held in position with fasteners, such as screws and nails, or bolts, nuts, and washers. These devices are used for fixation of fractures of the proximal or distal end of long bones, such as intracapsular, intertrochanteric, intercervical, supracondylar, or condylar fractures of the femur; for fusion of a joint; or for surgical procedures that involve cutting a bone. The devices may be implanted or attached through the skin so that a pulling force (traction) may be applied to the skeletal system.(b)
Classification. Class II.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

January 30, 2015

NEWCLIP TECHNICS % Mr. J.D. Webb Official Correspondent The OrthoMedix Group, Incorporated 1001 Oakwood Boulevard Round Rock, Texas 78681

Re: K141548

Trade/Device Name: High Tibial Osteotomy System Regulation Number: 21 CFR 888.3030 Regulation Name: Single/multiple component metallic bone fixation appliance and accessories Regulatory Class: Class II Product Code: HRS, HWC Dated: December 24, 2014 Received: December 29, 2014

Dear Mr. Webb:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems

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Page 2 - Mr. J.D. Webb

(OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803). please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Mark N. Melkerson -S

Mark N. Melkerson Director Division of Orthopedic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K141548

Device Name

High Tibial Osteotomy System

Indications for Use (Describe)

The High Tibial Osteotomy System is indicated for fixation of high tibial osteotomy.

Type of Use (Select one or both, as applicable)

X] Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on last page.

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Image /page/3/Picture/0 description: The image shows the logo for NEWCLIP-TECHNICS. The logo consists of a circle with the letters "nc" inside, and a red arrow pointing upwards to the right of the "c". Below the circle, the words "NEWCLIP-TECHNICS" are written in a sans-serif font.

510 (k) Summary for the High Tibial Osteotomy System 4.

In accordance with 21 CFR 807.92 of the Federal Code of Regulations, the following 510(k) summary is submitted for the High Tibial Osteotomy System.

Summary preparation date: January 26, 2015

1. Submitter:Contact Person:
NEWCLIP TECHNICS
P.A. de la Lande Saint Martin
45 rue des Garottières
F-44115 Haute-Goulaine - France
Telephone: (33) 2 28 21 37 12J.D. Webb
The OrthoMedix Group, Inc.
1001 Oakwood Blvd
Round Rock, TX 78681
Telephone: 512-388-0199
2. Trade name:High Tibial Osteotomy System
Common Name:Plates for high tibial osteotomy
Screws for high tibial osteotomy
Class:II
Product code:HRS/HWC
Classification Name:Plate, Fixation, Bone
(21 CFR part. 888.3030)
Screw, Fixation, Bone
(21 CFR part. 888.3040)

3. Predicate or legally marketed devices which are substantially equivalent:

  • The Arthrex Titanium Opening Wedge Osteotomy System of Arthrex, Inc. • (K032187),
  • The Surfix® Knee Osteotomy System of Surfix Technologies S.A. • (K041601),
  • The Humerus Locking Plating System of Newclip Technics (K063095). .

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Image /page/4/Picture/0 description: The image is a logo for a company called NEWCLIP-TECHNICS. The logo consists of a circle with the letters "nct" inside. The "t" in "nct" has an arrow pointing upwards. The words "NEWCLIP-TECHNICS" are written below the circle, with "NEWCLIP-" in black and "TECHNICS" in gray.

| 4. Description of the device: | The High Tibial Osteotomy System
consists of a pre-contoured plate and self-
tapping screws in various sizes for high
tibial osteotomy. The plates and screws are
manufactured from titanium alloy and
color anodized. The High Tibial
Osteotomy System will be provided
sterile. |
|-------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Materials: | Titanium alloy Ti-6Al-4V ELI (conform to
ASTM F 136-12a and/or ISO 5832-3). |
| Function: | The implants of the High Tibial
Osteotomy System are indicated for
fixation of high tibial osteotomy. |

5. Substantial equivalence claimed to predicate devices:

The High Tibial Osteotomy System is substantially equivalent to the Arthrex Titanium Opening Wedge Osteotomy System of Arthrex, Inc. (K032187), to the Surfix Knee Osteotomy System of Surfix Technologies S.A. (K041601) and to the Humerus Locking Plating System of Newclip Technics (K063095) in terms of intended use, design, materials used, mechanical safety and performance.

6. Intended use:

The High Tibial Osteotomy System is indicated for fixation of high tibial osteotomy.

7. Non-clinical Test Summary:

The following tests were conducted:

  • Comparative fatigue compression tests. .
  • Comparative static compression tests. ●
  • Geometric analysis of the subject and predicate screws. .
  • Torsional engineering analysis of plates. .

8. Clinical Test Summary:

No clinical studies were performed.

9. Conclusions Non-clinical and Clinical:

The High Tibial Osteotomy System is substantially equivalent to the predicate devices in terms of indications for use, design, material, and function.